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All Journal Health and Technology Journal (HTECHJ)
Ririn Indriani
Midwife Professional Education, Poltekkes Kemenkes Malang, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Midwifery Care for Postpartum Mothers with Breast Milk Problems Frida Indah Rahmaningrum; Ririn Indriani; Finta isti kundarti
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.360

Abstract

Failure of exclusive breastfeeding is caused by poor milk production, which can be influenced by stress, lack of understanding, and the mother's physiological condition. Inadequate milk production can negatively affect the growth and development of the baby. Non-pharmacological interventions such as oxytocin massage effectively stimulate oxytocin and prolactin hormones that play an important role in breast milk production. The purpose of this study was to provide postpartum midwifery care with the problem of breast milk not flowing through oxytocin massage therapy. This research used a case study approach to Mrs. FHP's complaint of breast milk not flowing in the right breast. Data were collected through interviews, observations, physical examinations, and documentation studies. The intervention was carried out by teaching the client's husband to use oxytocin massages, and monitoring was carried out for 7 days. Evaluation results showed increased breast milk production after oxytocin massage was performed twice a day for 15 minutes. Oxytocin massage is proven to be effective as a non-pharmacological intervention in overcoming the problem of poor milk production in postpartum women. Appropriate midwifery care can help mothers achieve exclusive breastfeeding success.
Midwifery Care for Over 35 Years Multigravida Mothers with Premature Rupture of Membranes at the Age of a Term Pregnancy Erica Diana Putri; Finta isti kundarti; Ririn Indriani; Dwi Estuning Rahayu
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.361

Abstract

Premature rupture of membranes (PROM) is a condition of rupture of the amniotic membrane after 37 weeks of gestation but before labor begins, which can increase the risk of intraamniotic infection, preterm labor, and operative measures such as cesarean section. This study aims to provide midwifery care for a case of PROM in a multigravida mother aged >35 years with a term pregnancy. This study used a case study design with an in-depth approach to the subject, Mrs. LN, age 40 years, G4P3003, gestational age 37 weeks, who came with complaints of discharge from the birth canal without adequate contractions. Data was collected through interviews, observation, physical examination, and documentation study. Examination using the Leopold palpation method, vaginal toucher, and examination with red litmus paper, which turns purple, indicating the presence of amniotic fluid. The diagnosis was the first stage of the labor latent phase with PROM. Obstetric interventions were carried out through observation, education, and referral to the hospital due to indications for postpartum MOW contraception. The study results showed that the mother and baby were born in good health, and the postpartum contraception plan could be implemented. This study emphasizes the importance of early detection of PROM and collaborative management in supporting maternal and infant safety.
Midwifery Care for Pregnant Women with Late-Term Pregnancy Finta isti kundarti; Eva Lisdiana; Ririn Indriani
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.362

Abstract

Late-term pregnancy occurs at 41 weeks to 41 weeks and six days of gestation. It poses potential risks to both the mother and the fetus. Appropriate management is crucial for preventing morbidity and mortality. This study aims to analyze Midwifery Care for Pregnant Women with Late-Term Pregnancy. This study employs a case study design with a comprehensive midwifery care approach for one patient. Data collection was carried out using a combination of interviews, direct observation, physical examinations, and document review. The analysis followed the structured stages of the midwifery care process, which include assessment, diagnosis, implementation, and evaluation. The case study was conducted on Mrs. YS, who did not experience signs of labor and refused induction. The diagnosis was established as G3P1011 with a gestational age of 42-42 weeks and a late-term intrauterine live fetus. The intervention involved referring the patient to the hospital for a cesarean section. The evaluation showed that the C-section went well, and the mother and baby were in good health after delivery. This case study highlights the importance of early detection and appropriate decision-making when managing overdue pregnancies. Refusing induction poses a clinical challenge requiring an educational and collaborative approach to avoid increasing the risk of maternal and neonatal complications.
Co-Authors Dwi Estuning Rahayu Erica Diana Putri Eva Lisdiana Finta isti kundarti Frida Indah Rahmaningrum